080815-N-7540C-148 PUERTO CABEZAS, Nicaragua (Aug.15, 2008) Project Hope volunteer Sara Joyce, embarked aboard the amphibious assault ship USS Kearsarge (LHD 3), examines the hand of an elderly Nicaraguan woman at a medical clinic at Juan Comenius High School during a Continuing Promise 2008 humanitarian assistance project. Kearsarge is the primary platform for the Caribbean phase of Continuing Promise, an equal-partnership mission involving the United States, Canada, the Netherlands, Brazil, Nicaragua, Panama, Colombia, Dominican Republic, Trinidad and Tobago and Guyana. (U.S. Navy photo by Mass Communication Specialist 1st Class David G. Crawford/Released)
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